Individual
BRAYDEN J HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9348 GRAND CORDERA PKWY STE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Mailing address
9833 FAIRWAY GLEN DR, PEYTON, CO 80831-4615
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101026324
MI
207N00000X
Dermatology Physician
Primary
DR.0071889
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0071889
COLORADO MEDICAL LICENSE
CO
01
—
FH2934025
DEA
CO
Enumeration date
05/01/2016
Last updated
07/26/2024
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